Assessing sleep-related breathing disorders among newly diagnosed rheumatoid and psoriatic arthritis patients: a cross-sectional study

被引:1
作者
Petzinna, Simon M. [1 ,5 ]
Winter, Lone [1 ]
Skowasch, Dirk [2 ]
Pizarro, Carmen [2 ]
Weber, Marcel [2 ]
Kuetting, Daniel [3 ]
Behning, Charlotte [4 ]
Bauer, Claus-Juergen [1 ]
Schaefer, Valentin S. [1 ]
机构
[1] Univ Hosp Bonn, Dept Rheumatol & Clin Immunol, Clin Internal Med 3, Bonn, Germany
[2] Univ Hosp Bonn, Clin Internal Med 2, Bonn, Germany
[3] Univ Hosp Bonn, Dept Radiol, Bonn, Germany
[4] Univ Hosp Bonn, Inst Med Biometry Informat & Epidemiol, Bonn, Germany
[5] Univ Hosp Bonn, Dept Rheumatol & Clin Immunol, Clin Internal Med 3, Venusberg Campus 1, D-53127 Bonn, Germany
关键词
Rheumatoid arthritis; Psoriatic arthritis; Sleep apnea syndromes; Sleep-disordered breathing; Sleep Hypopnea; Obstructive sleep apnea; Sleep monitoring; APNEA; DISEASE; RISK; RECOMMENDATIONS; DISTURBANCE; BURDEN; PAIN;
D O I
10.1007/s00296-024-05610-8
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objectives This cross-sectional study aimed to determine the prevalence and risk factors for sleep-related breathing disorders (SRBD) in newly diagnosed, untreated rheumatoid arthritis (RA) and psoriatic arthritis (PsA) patients, and to develop a screening algorithm for early detection. Methods We evaluated newly diagnosed RA or PsA patients using the Epworth Sleepiness Scale (ESS) questionnaire, cardiorespiratory polygraphy (RPG), and clinical and laboratory assessments. Sleep apnea syndrome (SAS) was diagnosed based on pathological RPG findings excessive daytime sleepiness, defined as ESS score above 10. Results The study included 39 patients (22 RA, 17 PsA) and 23 controls. In RPG, SRBD was identified in 38.5% of arthritis patients compared to 39.1% of controls (p = 1.00), with male gender (p = .004) and age (p < .001) identified as risk factors. Excessive daytime sleepiness was noted in 36.4% of RA patients, 17.6% of PsA patients, and 21.7% of controls. Of the 24 patients diagnosed with SRBD, 41.6% met the criteria for SAS. SAS prevalence was 31.8% among RA patients, 0% in PsA patients, and 13% in controls. A significant association was observed between excessive daytime sleepiness and SRBD (p = .036). Conclusion Our findings reveal a high prevalence of SRBD in newly diagnosed, untreated RA and PsA patients in ESS and RPG, with excessive daytime sleepiness being a reliable predictor of SRBD. Patients with RA exhibited a higher predisposition to SAS. We therefore suggest incorporating ESS and RPG as screening tools in RA or PsA for early detection and management of SRBD.
引用
收藏
页码:1025 / 1034
页数:10
相关论文
共 49 条
[1]   Plasma cytokine levels in patients with obstructive sleep apnea syndrome: a preliminary study [J].
Alberti, A ;
Sarchielli, P ;
Gallinella, E ;
Floridi, A ;
Floridi, A ;
Mazzotta, G ;
Gallai, V .
JOURNAL OF SLEEP RESEARCH, 2003, 12 (04) :305-311
[2]   Prevalence of comorbidities and their associations with health-related quality of life and healthcare expenditures in patients with rheumatoid arthritis [J].
An, JaeJin ;
Nyarko, Eric ;
Hamad, Mohammad Adam .
CLINICAL RHEUMATOLOGY, 2019, 38 (10) :2717-2726
[3]  
[Anonymous], 1374, SCI ABSTRACTS, P1
[4]  
Bourguignon Cheryl, 2003, Holist Nurs Pract, V17, P241
[5]   Management and Risk Reduction of Rheumatoid Arthritis in Individuals with Obstructive Sleep Apnea: A Nationwide Population-Based Study in Taiwan [J].
Chen, Wei-Sheng ;
Chang, Yu-Sheng ;
Chang, Chi-Ching ;
Chang, Deh-Ming ;
Chen, Yi-Hsuan ;
Tsai, Chang-Youh ;
Chen, Jin-Hua .
SLEEP, 2016, 39 (10) :1883-1890
[6]   Sleep disorders associated with risk of rheumatoid arthritis [J].
Chung, Wei-Sheng ;
Lin, Cheng-Li .
SLEEP AND BREATHING, 2018, 22 (04) :1083-1091
[7]   Group for Research and Assessment of Psoriasis and Psoriatic Arthritis 2015 Treatment Recommendations for Psoriatic Arthritis [J].
Coates, Laura C. ;
Kavanaugh, Arthur ;
Mease, Philip J. ;
Soriano, Enrique R. ;
Acosta-Felquer, Maria Laura ;
Armstrong, April W. ;
Bautista-Molano, Wilson ;
Bochncke, Wolf -Henning ;
Campbc, Willemina ;
Cauli, Alberto ;
Espinoza, Luis R. ;
FitzGerald, Oliver ;
Gladman, Dafna D. ;
Gottlieb, Alice ;
Helliwel, Philip S. ;
Husni, M. Elaine ;
Love, Thorvardur J. ;
Lubrano, Ennio ;
McHugh, Neil ;
Nash, Peter ;
Ogdie, Alexis ;
Orbai, Ana -Maria ;
Parkinson, Andrew ;
O'Sullivan, Denis ;
Rosen, Cheryl F. ;
Schwartzman, Sergio ;
Siege, Evan L. ;
Toloza, Sergio ;
Tuong, William ;
Ritchlin, Christopher T. .
ARTHRITIS & RHEUMATOLOGY, 2016, 68 (05) :1060-1071
[8]   Sleep disordered breathing and the risk of psoriasis among US women [J].
Cohen, Jeffrey M. ;
Jackson, Chandra L. ;
Li, Tricia Y. ;
Wu, Shaowei ;
Qureshi, Abrar A. .
ARCHIVES OF DERMATOLOGICAL RESEARCH, 2015, 307 (05) :433-438
[9]   Relevance and feasibility of a systematic screening of multimorbidities in patients with chronic inflammatory rheumatic diseases [J].
Daien, Claire I. ;
Tubery, Amandine ;
Beurai-Weber, Megane ;
du Cailar, Guilhem ;
Picot, Marie-Christine ;
Jaussent, Audrey ;
Roubille, Francois ;
Cohen, Jean-David ;
Morel, Jacques ;
Bousquet, Jean ;
Fesler, Pierre ;
Combe, Bernard .
JOINT BONE SPINE, 2019, 86 (01) :49-54
[10]   Psoriatic arthritis is a strong predictor of sleep interference in patients with psoriasis [J].
Duffin, Kristina Callis ;
Wong, Bob ;
Horn, Elizabeth J. ;
Krueger, Gerald G. .
JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY, 2009, 60 (04) :604-608